| Jillian Nelson, | |
|
5818 Columbia Ave, Hammond, IN 46320-2607 | |
| (219) 237-5160 | |
| Not Available |
| Full Name | Jillian Nelson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 5818 Columbia Ave, Hammond, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891244828 | NPI | - | NPPES |
| 71006567A | Other | IN | APN LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 71006567A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Hospitals Inc | Gary, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oak Street Health Physicians Group Pc | 7517109879 | 211 |
| Entity Name | Oak Street Health Physicians Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083051643 PECOS PAC ID: 7517109879 Enrollment ID: O20150608000402 |
| Mailing Address | Practice Location Address |
|---|---|
| Jillian Nelson, Po Box 746721, Atlanta, GA 30374-6721 Ph: () - | Jillian Nelson, 5818 Columbia Ave, Hammond, IN 46320-2607 Ph: (219) 237-5160 |
Amanda Vagelatos, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2250 173rd St, Hammond, IN 46323 Phone: 765-494-0111 | |
Tamika Banks, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5818 Columbia Ave, Hammond, IN 46320 Phone: 219-261-5451 | |
Mrs. Breanna Marie Matheny, MSN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1009 5th Ave, Hammond, IN 46320 Phone: 219-473-0722 | |
Miyako S Streeter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 31 Sibley St Ste A, Hammond, IN 46320 Phone: 219-802-8800 | |
Dale Poortenga, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Midwest Express Clinic, 31 Sibley St Ste A, Hammond, IN 46320 Phone: 219-802-8800 | |
Kristen Karanovic, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 31 Sibley St Ste A, Hammond, IN 46320 Phone: 219-802-8800 | |
Dana Joy Hiskes, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 31 Sibley St Ste A, Hammond, IN 46320 Phone: 219-802-8800 Fax: 219-802-8801 |